What is included in the preoperative nursing care of a patient undergoing CABG?

What is included in the preoperative nursing care of a patient undergoing CABG?

• A. Assessment, Teaching, Diagnostic studies
• B. Postoperative analgesia planning
• C. Physical therapy after surgery
• D. Dietary modification after surgery

Answer: (A)

Before CABG, the nursing focus is to gather a complete picture of the patient, prepare them physically and mentally, and ensure the right tests are done to guide care. This preoperative phase centers on assessment to identify health status, risks, airway and circulation readiness, and optimization needs; teaching to help the patient understand what will happen, what to expect in the ICU, sternotomy and recovery steps, pain management, and activity limitations; and diagnostic studies to establish baseline function and detect issues that need attention before surgery—labs (including coagulation and electrolytes), ECG, chest X-ray, blood typing and crossmatching, and any needed imaging or special tests. Putting these elements together helps reduce intraoperative risk and supports smoother recovery. The other options describe care that occurs after surgery—postoperative analgesia planning, postoperative physical therapy, and dietary modification after surgery—so they don’t belong to the preoperative nursing care.

Before CABG, the nursing focus is to gather a complete picture of the patient, prepare them physically and mentally, and ensure the right tests are done to guide care. This preoperative phase centers on assessment to identify health status, risks, airway and circulation readiness, and optimization needs; teaching to help the patient understand what will happen, what to expect in the ICU, sternotomy and recovery steps, pain management, and activity limitations; and diagnostic studies to establish baseline function and detect issues that need attention before surgery—labs (including coagulation and electrolytes), ECG, chest X-ray, blood typing and crossmatching, and any needed imaging or special tests. Putting these elements together helps reduce intraoperative risk and supports smoother recovery. The other options describe care that occurs after surgery—postoperative analgesia planning, postoperative physical therapy, and dietary modification after surgery—so they don’t belong to the preoperative nursing care.